Organization
CENTRAL AVENUE MEDICAL & SURGICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HENYA WIEDER (PRESIDENT)
(516) 374-4401
Entity
Organization
Contact information
Practice address
339 CENTRAL AVE, LAWRENCE, NY 11559-1605
(516) 374-4401
(516) 374-3142
Mailing address
339 CENTRAL AVE, LAWRENCE, NY 11559-1605
(516) 374-4401
(516) 374-3142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5670410001
NY
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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